Fgf21 analogues and derivatives

ABSTRACT

Derivatives of Fibroblast Growth Factor 21 which have improved properties for treating diabetes can be prepared by a recombinant process.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims priority to International Patent ApplicationPCT/CN2010/001099, filed Jul. 21, 2010, and International PatentApplication PCT/EP2010/057986, filed Jun. 8, 2010, which claimedpriority of European Patent Application 09162521.0, filed Jun. 11, 2009and U.S. Provisional Application 61/186,471, filed Jun. 12, 2009; thisapplication further claims priority under 35 U.S.C. §119 of U.S.Provisional Application 61/373,290, filed Aug. 13, 2010. Each of thesepriority documents is incorporated by reference herein in its entirety.

FIELD OF THIS INVENTION

The present invention relates to novel analogues of Fibroblast GrowthFactor 21 (FGF21) and to derivatives thereof having a modifying moietycovalently attached. The invention also relates to pharmaceutical use ofthese analogues and derivatives, in particular for the treatment ofdiabetes, dyslipidemia, obesity, cardiovascular diseases, metabolicsyndrome, and/or Non Alcoholic Fatty Liver Disease (NAFLD).

The derivatives of the invention are protracted, e.g. capable ofmaintaining a low blood glucose level for a longer period of time,capable of increasing the in vivo half-life of FGF21, and/or result in alower clearance of FGF21.

BACKGROUND OF THIS INVENTION

Fibroblast growth factors are polypeptides expressed in developing andadult tissues. They are involved in several physiological mechanismsincluding for example metabolic regulation and cellular differentiation.A whole family of more than twenty fibroblast growth factors exists (theFGF family). Three members of the FGF family including FGF19, FGF21, andFGF23 form a subfamily functioning as endocrine factors involved inmetabolic regulation.

Fibroblast Growth Factor 21 or FGF-21, herein for short FGF21, isexpressed preferentially in the liver and has been shown to exerthormone-like metabolic effects. For example, FGF21 has been demonstratedto activate glucose uptake in mouse adipocytes, to protect mice fromdiet induced obesity when over-expressed in transgenic mice, and tolower blood glucose and triglyceride levels when administered todiabetic rodents (Kharitonenkov et al., J. Clin. Invest. (2005),115:1627-1635). The lowering effect of FGF21 on blood glucose andtriglycerides has also been shown in diabetic monkeys. FGF21 was alsoable to decrease LDL and to increase HDL significantly in diabeticmonkeys (Kharitonenkov et al., Endocrinology (2007), 148(2):774-81).

In diet induced obese mice and ob/ob mice, FGF21 was furthermore shownto lower body weight, predominantly by an increase in energy expenditureand a reduction in adiposity (Coskun et al., Endocrinology (2008),149(12): 6018-6027).

Based on these results FGF21 has been suggested as a pharmacologicalagent with the potential to treat diabetes, dyslipidemia, obesity,cardiovascular diseases, and metabolic syndrome. Metabolic syndromeincludes aspects like insulin resistance, dyslipidemia, visceral obesityand hypertension, see e.g. the definition of metabolic syndrome inGrundy et al., Circulation (2004), (109): 433-438.

FGF21 may furthermore be used as a pharmacological agent with apotential to treat Non Alcoholic Fatty Liver Disease (NAFLD), see Coskunet al. Endocrinology, 2008 cited above, and Xu et al., Diabetes (2009,58(1):250-9, published electronically 7, Oct. 2008 ahead of print).NAFLD has been defined by Erickson, J. Lipid Res. (2008), publishedelectronically 12, Dec. 2008 ahead of print. Yie et al. studied the roleof the N- and C-termini of FGF21 in receptor interaction and activation,see FEBS Letters, 583 (2009), 19-24.

OBJECTS OF THIS INVENTION

The object of this invention is to overcome or ameliorate at least oneof the disadvantages of the prior art, or to provide a usefulalternative.

Another aspect of this invention relates to the furnishing of analoguesor derivatives of FGF21 which have improved properties for the treatmentof diabetes, for example compared with human FGF21.

Another aspect of this invention relates to the furnishing of analoguesor derivatives of FGF21 which have improved properties for the treatmentof obesity, for example compared with human FGF21.

Another aspect of this invention relates to the furnishing of analoguesor derivatives of FGF21 which have improved properties for the treatmentof non-alcoholic fatty liver disease (NAFLD), for example compared withhuman FGF21.

Another aspect of this invention relates to the furnishing of analoguesor derivatives of FGF21 which can relatively easy be preparedrecombinant in E. coli.

Another aspect of this invention relates to the furnishing of analoguesor derivatives of FGF21 being protected against N-terminal degradation.

Another aspect of this invention relates to the furnishing of analoguesor derivatives of FGF21 which have increased potency with respect toglucose uptake in 3T3-L1 cells, for example compared with human FGF21.

Another aspect of this invention relates to the furnishing of analoguesand derivatives of FGF-21 having increased mean half-life time comparedwith the mean half life time of Met-FGF-21, vide the test in example 9,below.

Further objects of this invention are to furnish compounds which caneffectively be used to treat hypertension, critical illness, themetabolic syndrome, epilepsy, cancer, acromegaly, dyslipidemia (high TG,high LDL and low HDC) and cardiovascular diseases, e.g., atherosclerosisand hypercholesterolemia.

DEFINITIONS

The sequence of the native human FGF21 protein is available from theUNIPROT database with α-cession no. Q9NSA1. The 209 amino acid precursorprotein includes a signal peptide (amino acids 1-28) and a matureprotein (amino acids 29-209). The mature protein is included herein asSEQ ID NO:1 (amino acids 1-181), and the signal peptide as SEQ ID NO:2(amino acids 1-28).

An isoform or allelic form of native human FGF21 having a Pro instead ofLeu in the mature protein at position 146 of SEQ ID NO:1 herein is knownfrom, i.a., US2001012628 A1 (residue no. 174 of SEQ ID NO:2 in thepublished US application).

Another isoform having a shorter signal peptide in which Leu at position23 of SEQ ID NO:2 herein is missing is known from WO 2003/011213 (seeSEQ ID NO: 2 of the WO publication having a signal peptide of 27 aminoacid residues).

Thus, particular examples of native human FGF21 are: SEQ ID NO:1, SEQ IDNO:1 having the substitution L146P, as well as any of these sequencespreceded by the 27 or 28 amino acids signal peptide referred to above.Preferred examples of native human FGF21 are the mature parts, viz. SEQID NO:1 and the L146β isoform thereof.

The term “analogue” as referred to herein in the context of FGF21, i.e.,an FGF21 analogue, refers to polypeptides that are or can be, deduced orderived from native FGF21, from SEQ ID NO:1 in particular, bymodification of the amino acid sequence thereof. Such modification,amendment or change may include substitution, deletion, and/or additionof one or more amino acids. For example, an amino acid may be added atthe N-terminus end.

The term “amino acid” or “amino acid residue” as referred to herein inthe context of FGF21 modifications includes the twenty standardalpha-amino acids being used by cells in protein biosynthesis andspecified by the genetic code, viz. alanine, arginine, asparagine,aspartic acid, cysteine, glutamine, glutamic acid, glycine, histidine,isoleucine, leucine, lysine, methionine, phenylalanine, proline, serine,threonine, tryptophan, tyrosine and valine (the amino acid residuesbeing the corresponding residues from which hydrogen has been removedfrom an amino group and/or a hydroxy group has been removed from acarboxy group and hydrogen may have been removed from any mercaptogroup). Herein, an amino acid is preferably one which can be prepared bygenetic engineering.

For the present purposes, the two recognized codes of the standard aminoacids (one-letter and three-letter) are used interchangeably, or now andthen the amino acid name is fully spelled out. These terms are of courseconsidered fully equivalent (e.g., S=Ser=serine).

The term “derivative” as used herein refers to an analogue of FGF21which has been covalently modified. The term is not limiting as such,rather descriptive, as it is intended to mark a distinction betweenchanges made to the constituent FGF21 polypeptide as such (“analogues”),and the covalent binding of a side chain to the FGF21 compound, wherebythe compound is “derivatised”. If desired, this term can be substitutedwith other general chemical terms, for example compound.

Nomenclature: Analogues and derivatives are named herein using,interchangeably, polypeptide nomenclature, organic chemicalnomenclature, and chemical formulas, or mixtures thereof, whatever isdeemed best suited for easing the understanding of the technical matterin question. For example, the derivative nameS-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]ethoxy}ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methyl)[71C, 121Q, 166F, 168L, 173A, 174V, 179F] Ala-FGF21 means that [71C,121Q, 166F, 168L, 173A, 174V, 179F] Ala-FGF21 is modified by{2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]ethoxy}ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methylat the thiol group in Cys in position 71.

For example, a substitution in an analogue may be indicated as:“Original amino acid-position-substituted amino acid” (or as“position-substituted amino acid”). The three or one letter code may beused. Accordingly, the notation “S71C” or “Ser71Cys” means, that theanalogue comprises a substitution of serine with cysteine in the aminoacid position corresponding to the amino acid at position 71 in humanFGF21 (SEQ ID NO:1).

Multiple modifications such as e.g. substitutions may be separated bycommas (with a space after the comma), and if desired surrounded bybrackets in order to make it clear that they belong to the same variant.Hence, the analogue designated [−1A, L166F, M168L, G174V, Y179F] FGF21is human FGF21 having Ala (A) in position −1, Phe (F) in position 166,Leu (L) in position 168, Val (V) in position 174, and Phe (F) inposition 179.

An extension can be described by reference to SEQ ID NO:1 by addition ofposition numbers (continued positive numbers in the C-terminal end andnegative numbers in the N-terminal end) or, more simply, by adding theamino acids of the extension in question, using the correct sequencethereof, to the compound in question, which is then often given atrivial name, such as FGF21, again in order to ease the understanding ofthe relevant technical point. Hence, [−1A, L166F, M168L, G174V, Y179F]FGF21 can also be designated [L166F, M168L, G174V, Y179F] Ala-FGF21.

The term “compound” collectively covers analogues and derivatives.

SUMMARY OF THE INVENTION

Briefly, this invention is as defined in the claims and clauses below.

The present invention relates to novel analogues and derivatives ofFGF21. In said derivatives, a modifying group is covalently attached tothe FGF21 analogue. The invention also relates to the use of saidanalogues and derivatives in pharmaceutical compositions, in particularfor the treatment of diabetes, dyslipidemia, obesity, cardiovasculardiseases, metabolic syndrome, and/or Non Alcoholic Fatty Liver Disease(NAFLD).

The derivatives of the invention are protracted, e.g. capable ofmaintaining a low blood glucose level for a longer period of time,capable of increasing the in vivo half-life of FGF21, and/or result in alower clearance of FGF21. The derivatives of FGF21 retain satisfactorybiological activity and may be administered less frequently than theparent FGF21 analogues. Furthermore, said derivatives have a reducedrisk of deamidation.

DETAILED DESCRIPTION OF THIS INVENTION

In one aspect, this invention relates to analogues of FGF21.

In one aspect, the analogues and derivatives of this invention are [−1A,L166F, M168L, G174V, Y179F] FGF21, analogues of [−1A, L166F, M168L,G174V, Y179F] FGF21 optionally containing one or more of the followingamino acid substitutions (exchanges): 71C, 121Q, 173A and/or des181,optionally, having up to four further mutations and/or, optionally, the179 and/or 180 amino acid is not present and derivatives of suchanalogues containing Cys in position 71 which derivatives have a groupof the general formulaHOOC—(CH₂)_(n)—CONH—CH(COOH)—CH₂—CH₂—CONH—(CH₂CH₂O)_(m)—CH₂—CONH—(CH₂CH₂O)_(p)—CH₂—CONH—(CH₂)_(q)—NHCO—CH₂—(modifying moiety), wherein n is an integer in the range 10-20, m is aninteger in the range 1-3, p is an integer in the range 1-3, and q is aninteger in the range 2-4, covalently attached to the sulphur atom in themercapto group present in the cysteine residue in position 71.

Hence, the above aspect covers, e.g., 1) analogues of [−1A, L166F,M168L, G174V, Y179F] FGF21 containing one or more of the following aminoacid substitutions (exchanges): 71C, 121Q, 173A and/or des181, 2)analogues of [−1A, L166F, M168L, G174V, Y179F] FGF21 having up to fourfurther mutations (apart from any mutation(s) selected from the groupconsisting of 71C, 121Q, 173A and/or des181), 3) analogues of [−1A,L166F, M168L, G174V, Y179F] FGF21 wherein the 179 and/or 180 amino acidis not present and 4) any combination of 1), 2) and/or 3).

The above expression “having up to four further mutations” means that upto four amino acid residues have been exchanged, inserted or cancelledin FGF-21, apart from any mutation(s) selected from the group consistingof 71C, 121Q, 173A and/or des181. Examples of such exchanges are theinsertion of Pro in position 146.

FGF-21 analogues wherein the 179 and/or 180 amino acid is not presentcan also be designated des179 and/or des 180 analogues.

In another aspect, the analogues and derivatives of this invention are[−1A, 71C, L166F, M168L, G174V, Y179F] FGF21, analogues of [−1A, 71C,L166F, M168L, G174V, Y179F] FGF21 optionally containing one or more ofthe following amino acid substitutions (exchanges): 121Q, 173A and/ordes181, optionally, having up to four further mutations and/or,optionally, the 179 and/or 180 amino acid is not present and derivativesof such analogues which derivatives have a group of the general formulaHOOC—(CH₂),—CONH—CH(COOH)—CH₂—CH₂—CONH—(CH₂CH₂O)_(m)—CH₂—CONH—(CH₂—CH₂O)_(p)—CH₂—CONH—(CH₂)_(q)—NHCO—CH₂—(modifying moiety), wherein n is an integer in the range 10-20, m is aninteger in the range 1-3, p is an integer in the range 1-3, and q is aninteger in the range 2-4, covalently attached to the sulphur atom in themercapto group present in the cysteine residue in position 71.

In another aspect, the analogues of this invention are [−1A, L166F,S167G, M168L, G174V, Y179F, A180E] FGF21 and analogues of [−1A, L166F,S167G, M168L, G174V, Y179F, A180E] FGF21 additionally containing one ormore of the following amino acid substitutions (exchanges): 71C, 121Q,171L, 172E, 173A and/or des181. The meaning of the expression “analoguesof [−1A, L166F, S167G, M168L, G174V, Y179F, A180E] FGF21 additionallycontaining one or more of the following amino acid substitutions(exchanges): 71C, 121Q, 171L, 172E, 173A and/or des181” is that,compared with human FGF21 (SEQ ID NO:1), said analogues contain Ala (A)in position −1, Phe (F) in position 166, Gly (G) in position 167, Leu(L) in position 168, Val (V) in position 174, Phe (F) in position 179,and Glu (E) in position 180 and, furthermore, either Cys (C) in position71, Gln (O) in position 121, Leu (L) in position 171, Glu (E) inposition 172, Ala (A) in position 173, and/or no amino acid residue inposition 181.

In another aspect, the analogues of this invention are [−1A, S71C,L166F, S167G, M168L, G174V, Y179F, A180E] FGF21 and [−1A, S71C, L166F,S167G, M168L, G174V, Y179F, A180E]FGF21 analogues thereof additionally,contains one or more of the following amino acid substitutions(exchanges): 121Q, 171L, 172E, 173A and/or des181. Hence, these FGF21analogues are [−1A, S71C, L166F, S167G, M168L, G174V, Y179F, A180E]FGF21 and FGF21 analogues thereof which in addition to Ala (A) inposition −1, Cys (C) in position 71, Phe (F) in position 166, Gly (G) inposition 167, Leu (L) in position 168, Val (V) in position 174, Phe (F)in position 179, and Glu (E) in position 180, additionally, containseither Gln (O) in position 121, Leu (L) in position 171, Glu (E) inposition 172, Ala (A) in position 173, and/or no amino acid residue inposition 181. Hence, the term “either Gln (O) in position 121, Leu (L)in position 171, Glu (E) in position 172, Ala (A) in position 173,and/or no amino acid residue in position 181” is herein also expressedas “121Q, 171L, 172E, 173A and/or des181”.

Hence, one analogue according to this invention is [−1A, S71C, L166F,S167G, M168L, G174V, Y179F, A180E] FGF21 which can, alternatively, bedesignated [S71C, L166F, S167G, M168L, G174V, Y179F, A180E] Ala-FGF21 or[71C, 166F, 167G, 168L, 174V, 179F, 180E] Ala-FGF21.

In another aspect, this invention relates to derivatives of FGF21analogues. In one aspect, the derivatives of this invention are [−1A,S71C, L166F, S167G, M168L, G174V, Y179F, A180E] FGF21 and [−1A, S71C,L166F, S167G, M168L, G174V, Y179F, A180E] FGF21 analogues which FGF21analogues additionally contain one or more of the following amino acidsubstitutions (exchanges): 121Q, 171L, 172E, 173A and/or des181,carrying a group of the general formulaHOOC—(CH₂)_(n)—CONH—CH(COOH)—CH₂—CH₂—CONH—(CH₂CH₂O)_(m)—CH₂—CONH—(CH₂CH₂O)_(p)—CH₂—CONH—(CH₂)_(q)—NHCO—CH₂-(modifyingmoiety), wherein n is an integer in the range 10-20, m is an integer inthe range 1-3, p is an integer in the range 1-3, and q is an integer inthe range 2-4, covalently attached to the sulphur atom in the mercaptogroup present in the cysteine residue in position 71 of said FGF21analogue. Herein, the group of the general formula HOOC—(CH₂),—CONH—CH(COOH)—CH₂—CH₂—CONN—(CH₂CH₂O)_(m)—CH₂—CONH—(CH₂CH₂O)_(p)—CH₂—CONH—(CH₂)_(q)—NHCO—CH₂—,wherein n, m, p and q are as defined herein, is designated a modifyingmoiety. It has been found that this modifying moiety has the capabilityof increasing the in vivo circulation time.

Compared with the analogues of FGF21, the derivatives of the aboveanalogues of FGF21 have prolonged action.

A pharmaceutical composition comprising an analogue or a derivative ofFGF21 may further comprise a pharmaceutically acceptable carrier. Forinjection, the carrier may be water, if desired supplemented with othermaterials, e.g. saline, such as physiological saline. Otherpharmaceutically acceptable agents such as diluents and appropriatebuffers may also be used. If desired, additional pharmaceuticallyacceptable agents such as emulsifiers, suspending agents, solvents,fillers, bulking agents, adjuvants, preservatives, antioxidants,colouring agents, and/or flavouring agents may also be used. Theanalogue or derivative of FGF21 may be used in the form of a purifiedpolypeptide or a derivative thereof, or formulated using appropriatepharmaceutically acceptable excipients, as is known in the art. Thepharmaceutical composition may be administered in any way as is known inthe art, e.g. injected, for example intravenously (i.v.) orsubcutaneously (s.c.).

The analogue or derivative of FGF21 may be included in thepharmaceutical composition in a therapeutically or prophylacticallyeffective amount. The amount to be administered to the patient dependsupon the therapeutic or prophylactic objective, such as the indicationin question, the condition of the patient in need of treatment, thedesired route of administration, etc. The skilled medical practitionermay have to adjust dosage and modify the administration depending onthese factors, as is routine in the art. For example, the compounds ofthis invention can be administered once daily or one or more times perweek.

PREFERRED FEATURES OF THIS INVENTION

To sum up and supplement the above statements, the features and clausesof this invention are as follows:

1. [−1A, L166F, M168L, G174V, Y179F] FGF21, analogues of [−1A, L166F,M168L, G174V, Y179F] FGF21 optionally containing one or more of thefollowing amino acid substitutions (exchanges): 71C, 121Q, 173A and/ordes181, optionally, having up to four further mutations and/or,optionally, the 179 and/or 180 amino acid is not present and derivativesof such analogues containing Cys in position 71 which derivatives have agroup of the general formula HOOC—(CH₂),—CONH—CH(COOH)—CH₂—CH₂-CONH—(CH₂CH₂O)_(m)—CH₂—CONH—(CH₂CH₂O)_(p)—CH₂—CONH—(CH₂)_(q)—NHCO—CH₂—(modifying moiety), wherein n is an integer in the range 10-20, m is aninteger in the range 1-3, p is an integer in the range 1-3, and q is aninteger in the range 2-4, covalently attached to the sulphur atom in themercapto group present in the cysteine residue in position 71.2. [−1A, L166F, M168L, G174V, Y179F] FGF21, analogues of [−1A, L166F,M168L, G174V, Y179F] FGF21 optionally containing one or more of thefollowing amino acid substitutions (exchanges): 71C, 121Q, 173A and/ordes181, optionally, having up to four further mutations and/or,optionally, the 179 and/or 180 amino acid is not present, according tothe previous clause.

3. [−1A, 71C, L166F, M168L, G174V, Y179F] FGF21, analogues of [−1A, 71C,L166F, M168L, G174V, Y179F] FGF21 optionally containing one or more ofthe following amino acid substitutions (exchanges): 121Q, 173A and/ordes181, optionally, having up to four further mutations and/or,optionally, the 179 and/or 180 amino acid is not present and derivativesof such analogues which derivatives have a group of the general formulaHOOC—(CH₂)_(n)—CONH—CH(COOH)—CH₂—CH₂—CONH—(CH₂CH₂O)_(m)—CH₂—CONH—(CH₂CH₂O)_(p)—CH₂—CONH—(CH₂)_(q)—NHCO—CH₂—(modifying moiety), wherein n is an integer in the range 10-20, m is aninteger in the range 1-3, p is an integer in the range 1-3, and q is aninteger in the range 2-4, covalently attached to the sulphur atom in themercapto group present in the cysteine residue in position 71, accordingto any one of the previous clauses.

4. [−1A, 71C, L166F, M168L, G174V, Y179F] FGF21, analogues of [−1A, 71C,L166F, M168L, G174V, Y179F] FGF21 optionally containing one or more ofthe following amino acid substitutions (exchanges): 121Q, 173A and/ordes181, optionally, having up to four further mutations and/or,optionally, the 179 and/or 180 amino acid is not present, according toany one of the previous clauses to the extent possible.5. [−1A, L166F, S167G, M168L, G174V, Y179F, A180E] FGF21, analogues of[−1A, L166F, S167G, M168L, G174V, Y179F, A180E] FGF21 additionallycontaining one or more of the following amino acid substitutions(exchanges): 71C, 121Q, 171L, 172E, 173A and/or des181 and derivativesof such analogues containing Cys in position 71 which derivatives have agroup of the general formulaHOOC—(CH₂)_(n)—CONH—CH(COOH)—CH₂—CH₂—CONH—(CH₂CH₂O)_(m)—CH₂—CONH—(CH₂CH₂O)_(p)—CH₂—CONH—(CH₂)_(q)—NHCO—CH₂—(modifying moiety), wherein n is an integer in the range 10-20, m is aninteger in the range 1-3, p is an integer in the range 1-3, and q is aninteger in the range 2-4, covalently attached to the sulphur atom in themercapto group present in the cysteine residue in position 71, accordingto any one of the previous clauses to the extent possible.6. [−1A, L166F, S167G, M168L, G174V, Y179F, A180E] FGF21 and analoguesof [−1A, L166F, S167G, M168L, G174V, Y179F, A180E] FGF21 additionallycontaining one or more of the following amino acid substitutions(exchanges): 71C, 121Q, 171L, 172E, 173A and/or des181.7. [−1A, L166F, S167G, M168L, G174V, Y179F, A180E] FGF21, analogues of[−1A, L166F, S167G, M168L, G174V, Y179F, A180E] FGF21 additionallycontaining one or more of the following amino acid substitutions(exchanges): 71C, 121Q, 171L, 172E, 173A and/or des181 and/or,optionally, the 179 and/or 180 amino acid is not present and derivativesof such analogues containing Cys in position 71 which derivatives have agroup of the general formulaHOOC—(CH₂)_(n)—CONH—CH(COOH)—CH₂—CH₂—CONH—(CH₂CH₂O)_(m)—CH₂—CONH—(CH₂CH₂O)_(p)—CH₂—CONH—(CH₂)_(q)—NHCO—CH₂—(modifying moiety), wherein n is an integer in the range 10-20, m is aninteger in the range 1-3, p is an integer in the range 1-3, and q is aninteger in the range 2-4, covalently attached to the sulphur atom in themercapto group present in the cysteine residue in position 71, accordingto any one of the previous clauses to the extent possible.8. [−1A, L166F, S167G, M168L, G174V, Y179F, A180E] FGF21, analogues of[−1A, L166F, S167G, M168L, G174V, Y179F, A180E] FGF21 additionallycontaining one or more of the following amino acid substitutions(exchanges): 71C, 121Q, 171L, 172E, 173A and/or des181 and/or,optionally, the 179 and/or 180 amino acid is not present.9. [−1A, S71C, L166F, S167G, M168L, G174V, Y179F, A180E] FGF21 oranalogues of [−1A, S71C, L166F, S167G, M168L, G174V, Y179F, A180E] FGF21additionally containing one or more of the following amino acidsubstitutions (exchanges) 121Q, 171L, 172E, 173A and/or des181 andderivatives thereof having a group of the general formula HOOC—(CH₂),—CONH—CH(COOH)—CH₂—CH₂—CONH—(CH₂CH₂O)_(m)—CH₂—CONH—(CH₂CH₂O)_(p)—CH₂—CONH—(CH₂)_(q)—NHCO—CH₂—(modifying moiety), wherein n is an integer in the range 10-20, m is aninteger in the range 1-3, p is an integer in the range 1-3, and q is aninteger in the range 2-4, covalently attached to the sulphur atom in themercapto group present in the cysteine residue in position 71, accordingto any one of the previous clauses to the extent possible.10. [−1A, S71C, L166F, S167G, M168L, G174V, Y179F, A180E] FGF21 oranalogues of [−1A, S71C, L166F, S167G, M168L, G174V, Y179F, A180E] FGF21additionally containing one or more of the following amino acidsubstitutions (exchanges) 121Q, 171L, 172E, 173A and/or des181,according to any one of the previous clauses to the extent possible.11. The analogue according to any one of the previous clauses to theextent possible, containing only one of the following amino acidexchanges: Gln (O) in position 121, Leu (L) in position 171, Glu (E) inposition 172, Ala (A) in position 173, or no amino acid in position 181.12. The analogue according to any one of the previous clauses to theextent possible, containing only two of the following amino acidexchanges: Gln (O) in position 121, Leu (L) in position 171, Glu (E) inposition 172, Ala (A) in position 173, or no amino acid in position 181.13. The analogue according to any one of the previous clauses, to theextent possible, containing only three of the following amino acidexchanges: Gln (O) in position 121, Leu (L) in position 171, Glu (E) inposition 172, Ala (A) in position 173, or no amino acid in position 181.14. The analogue according to any one of the previous clauses to theextent possible, containing only four of the following amino acidexchanges: Gln (O) in position 121, Leu (L) in position 171, Glu (E) inposition 172, Ala (A) in position 173, or no amino acid in position 181.15. The analogue according to any one of the preceding clauses to theextent possible which is [−1A, S71C, L166F, S167G, M168L, G174V, Y179F,A180E] FGF21.16. The analogue according to any one of the preceding clauses to theextent possible, which is [−1A, 71C, 121Q, 166F, 167G, 168L, 171L, 172E,173A, 174V, 179F, 180E, des181] FGF21.17. The analogue according to any one of the preceding clauses to theextent possible, which is [−1A, S71C, L166F, S167G, M168L, G174V, Y179F,A180E, des181] FGF-21.18. The analogue according to any one of the preceding clauses to theextent possible, which is [−1A, S71C, L166F, S167G, M168L, P171L, S172E,Q173A, G174V, Y179F, A180E, des181] FGF-21.19. The analogue according to any one of the preceding clauses to theextent possible, which is [−1A, S71C, L166F, S167G, M168L, P171L, S172E,Q173A, G174V, Y179F, A180E] FGF-21.20. The analogue according to any one of the preceding clauses to theextent possible, which is [−1A, S71C, N121Q, L166F, S167G, M168L, G174V,Y179F, A180E, des181] FGF-21.21. The analogue according to any one of the preceding clauses to theextent possible, which is [−1A, S71C, N121Q, L166F, S167G, M168L, G174V,Y179F, A180E] FGF-21.22. The analogue according to any one of the preceding clauses to theextent possible, which is [−1A, S71C, N121Q, L166F, S167G, M168L, P171L,S172E, Q173A, G174V, Y179F, A180E] FGF-21.23. The analogue according to any one of the preceding clauses to theextent possible, which is [−1A, 121Q, 166F, 167G, 168L, 171L, 172E,173A, 174V, 179F, 180E, des181] FGF-21.24. The analogue according to any one of the preceding clauses to theextent possible, which is [−1A, 71C, 121Q, 166F, 167G, 168L, 171L, 172E,173A, 174V, des179-181] FGF-21.25. The analogue according to any one of the preceding clauses to theextent possible, which is [−1A, 71C, 121Q, 166F, 168L, 173A, 174V, 179F]FGF-21.26. The analogue according to any one of the preceding clauses to theextent possible, which is [−1A, S71C, L166F, S167G, M168L, P171L, S172E,Q173A, G174V, Y179F, A180E, des181] FGF-21.27. The analogue according to any one of the preceding clauses to theextent possible, which is [−1A, 71C, 121Q, 166F, 168L, 174V, 179F, 180E,des181] FGF21.28. The analogue according to any one of the preceding clauses to theextent possible, which is [−1A, S71C, L166F, S167G, M168L, G174V, Y179F,A180E, des181] FGF-21; [−1A, S71C, L166F, S167G, M168L, G174V, Y179F,A180E] FGF-21; [−1A, S71C, L166F, S167G, M168L, P171L, S172E, Q173A,G174V, Y179F, A180E, des181] FGF-21; [−1A, S71C, L166F, S167G, M168L,P171L, S172E, Q173A, G174V, Y179F, A180E] FGF-21; [−1A, S71C, N121Q,L166F, S167G, M168L, G174V, Y179F, A180E, des181] FGF-21; [−1A, S71C,N121Q, L166F, S167G, M168L, G174V, Y179F, A180E] FGF-21; [−1A, S71C,N121Q, L166F, S167G, M168L, P171L, S172E, Q173A, G174V, Y179F, A180E,des181] FGF-21; [−1A, S71C, N121Q, L166F, S167G, M168L, P171L, S172E,Q173A, G174V, Y179F, A180E] FGF-21; [−1A, 121Q, 166F, 167G, 168L, 171L,172E, 173A, 174V, 179F, 180E, des181] FGF-21; [−1A, 71C, 121Q, 166F,167G, 168L, 171L, 172E, 173A, 174V, des179-181] FGF-21, [−1A, 71C, 121Q,166F, 168L, 173A, 174V, 179F] FGF-21 or [−1A, 71C, 121Q, 166F, 168L,174V, 179F, 180E, des181] FGF21.29. The derivative according to any one of the preceding clauses to theextent possible, having a group of the general formula mentioned inclause 1 covalently attached to the sulphur atom in the mercapto grouppresent in the cysteine residue in position 71.30. The derivative according to any one of the preceding clauses to theextent possible, wherein n is 14.31. The derivative according to any one of the preceding clauses to theextent possible, wherein n is 16.32. The derivative according to any one of the preceding clauses to theextent possible, wherein n is 18.33. The derivative according to any one of the preceding clauses to theextent possible, wherein n is 14, 16 or 18.34. The derivative according to any one of the preceding clauses to theextent possible, wherein m is 2.35. The derivative according to any one of the preceding clauses to theextent possible, wherein p is 2.36. The derivative according to any one of the preceding clauses to theextent possible, wherein q is 2.37. The derivative according to any one of the preceding clauses to theextent possible, wherein q is 3.38. The derivative according to any one of the preceding clauses to theextent possible, wherein q is 4.39. The derivative according to any one of the preceding clauses to theextent possible, wherein n is 14 and m, p and q are each 2.40. The derivative according to any one of the preceding clauses to theextent possible, wherein n is 16 and m, p and q are each 2.41. The derivative according to any one of the preceding clauses to theextent possible, wherein n is 18 and m, p and q are each 2.42. The derivative according to any one of the preceding clauses to theextent possible, in which the parent FGF21 analogue is [−1A, S71C,L166F, S167G, M168L, G174V, Y179F, A180E] FGF21.43. The derivative according to any one of the preceding clauses to theextent possible, in which the parent FGF21 analogue is [−1A, S71C,L166F, S167G, M168L, G174V, Y179F, A180E, des181] FGF-21; [−1A, S71C,L166F, S167G, M168L, G174V, Y179F, A180E] FGF-21; [−1A, S71C, L166F,S167G, M168L, P171L, S172E, Q173A, G174V, Y179F, A180E, des181] FGF-21;[−1A, S71C, L166F, S167G, M168L, P171L, S172E, Q173A, G174V, Y179F,A180E] FGF-21; [−1A, S71C, N121Q, L166F, S167G, M168L, G174V, Y179F,A180E, des181] FGF-21; [−1A, S71C, N121Q, L166F, S167G, M168L, G174V,Y179F, A180E] FGF-21; [−1A, S71C, N121Q, L166F, S167G, M168L, P171L,S172E, Q173A, G174V, Y179F, A180E, des181] FGF-21; [−1A, S71C, N121Q,L166F, S167G, M168L, P171L, S172E, Q173A, G174V, Y179F, A180E] FGF-21;[−1A, 121Q, 166F, 167G, 168L, 171L, 172E, 173A, 174V, 179F, 180E,des181] FGF-21; [−1A, 71C, 121Q, 166F, 167G, 168L, 171L, 172E, 173A,174V, des179-181] FGF-21, [−1A, 71C, 121Q, 166F, 168L, 173A, 174V, 179F]FGF-21 or [−1A, 71C, 121Q, 166F, 168L, 174V, 179F, 180E, des181] FGF21.44. The derivative according to any one of the preceding clauses to theextent possible, in which the parent FGF21 analogue is [−1A, 71C, 121Q,166F, 167G, 168L, 171L, 172E, 173A, 174V, 179F, 180E, des181] FGF21.45. The derivative according to any one of the preceding clauses to theextent possible, which isS-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]ethoxy}ethoxy)-acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methyl)[71C, 121Q, 166F, 167G, 168L, 171L, 172E, 173A, 174V, 179F, 180E,des181] Ala-FGF21.46. The derivative according to any one of the preceding clauses to theextent possible, which isS-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(15-carboxypentadecanoylamino)butyrylamino]ethoxy}ethoxy)-acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methyl)[71C, 121Q, 166F, 167G, 168L, 171L, 172E, 173A, 174V, 179F, 180E,des181] Ala-FGF21.47. The derivative according to any one of the preceding clauses to theextent possible, which isS-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]ethoxy}ethoxy)-acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methyl)[71C, 121Q, 166F, 167G, 168L, 171L, 172E, 173A, 174V, 179F, 180E]Ala-FGF21.48. The derivative according to any one of the preceding clauses to theextent possible, which isS-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]ethoxy}ethoxy)-acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methyl)[71C, 121Q, 166F, 167G, 168L, 171L, 172E, 173A, 174V, des179-181]Ala-FGF21.49. The derivative according to any one of the preceding clauses to theextent possible, which isS-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]ethoxy}ethoxy)-acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methyl)[71C, 121Q, 166F, 167G, 168L, 174V, 179F, 180E, des181] Ala-FGF21.50. The derivative according to any one of the preceding clauses to theextent possible, which isS-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]ethoxy}ethoxy)-acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methyl)[71C, 121Q, 166F, 168L, 173A, 174V, 179F] Ala-FGF21.51. The derivative according to any one of the preceding clauses to theextent possible, which isS-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]ethoxy}ethoxy)-acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methyl)[71C, 166F, 167G, 168L, 171L, 172E, 173A, 174V, 179F, 180E, des181]Ala-FGF21.52. The derivative according to any one of the preceding clauses to theextent possible, which isS-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]ethoxy}ethoxy)-acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methyl)[71C, 166F, 167G, 168L, 174V, 179F, 180E] Ala-FGF21.53. The derivative according to any one of the preceding clauses to theextent possible, which isS-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]ethoxy}ethoxy)-acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methyl)[71C, 166F, 167G, 168L, 174V, 179F, 180E, des181] Ala-FGF21.54. The derivative according to any one of the preceding clauses to theextent possible, which isS-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(19-carboxynonadecanoylamino)butyrylamino]ethoxy}ethoxy)-acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methyl)[−1A, 71C, 121Q, 166F, 167G, 168L, 171L, 172E, 173A, 174V, 179F, 180E,des181] Ala-FGF21.55. The derivative according to any one of the preceding clauses to theextent possible, which isS-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]ethoxy}ethoxy)-acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methyl)[−1A, 71C, 121Q, 166F, 168L, 174V, 179F, 180E, des181] FGF21.56. The derivative according to any one of the preceding clauses to theextent possible, which isS-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(15-carboxypentadecanoylamino)butyrylamino]ethoxy}ethoxy)-acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methyl)[71C, 121Q, 166F, 167G, 168L, 171L, 172E, 173A, 174V, 179F, 180E,des181] Ala-FGF21;S-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]ethoxy}ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]-ethylcarbamoyl}methyl)[71C, 121Q, 166F, 167G, 168L, 171L, 172E, 173A, 174V, 179F, 180E]Ala-FGF21;S-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]-ethoxy}ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methyl)[71C, 121Q, 166F, 167G, 168L, 171L, 172E, 173A, 174V, 179F, 180E,des181] Ala-FGF21;S-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]ethoxy}ethoxy)acetylamino]ethoxy}-ethoxy)acetylamino]ethylcarbamoyl}methyl)[71C, 121Q, 166F, 167G, 168L, 171L, 172E, 173A, 174V, des179-181]Ala-FGF21;S-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)-butyrylamino]ethoxy}ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methyl)[71C, 121Q, 166F, 167G, 168L, 174V, 179F, 180E, des181] Ala-FGF21;S-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]ethoxy}ethoxy)acetylamino]ethoxy}ethoxy)-acetylamino]ethylcarbamoyl}methyl)[71C, 121Q, 166F, 168L, 173A, 174V, 179F] Ala-FGF21;S-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]ethoxy}ethoxy)-acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methyl)[71C, 166F, 167G, 168L, 171L, 172E, 173A, 174V, 179F, 180E, des181]Ala-FGF21;S-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxy-heptadecanoylamino)butyrylamino]ethoxy}ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]ethyl-carbamoyl}methyl)[71C, 166F, 167G, 168L, 174V, 179F, 180E] Ala-FGF21;S-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]ethoxy}ethoxy)acetylamino]ethoxy}-ethoxy)acetylamino]ethylcarbamoyl}methyl)[71C, 166F, 167G, 168L, 174V, 179F, 180E, des181] Ala-FGF21;S-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(19-carboxynonadecanoylamino)butyrylamino]-ethoxy}ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methyl)[−1A, 71C, 121Q, 166F, 167G, 168L, 171L, 172E, 173A, 174V, 179F, 180E,des181] Ala-FGF21 orS-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]ethoxy}ethoxy)acetylamino]ethoxy}-ethoxy)acetylamino]ethylcarbamoyl}methyl)[−1A, 71C, 121Q, 166F, 168L, 174V, 179F, 180E, des181] FGF21.57. The analogue or derivative according to any one of the precedingclauses to the extent possible which has a potency of at least 1%,preferably at least 5%, more preferably at least 10%, or most preferablyat least 20% relative to the potency of Met-FGF21, wherein the potencyis determined by measuring glucose uptake in 3T3-L1 adipocytes.58. The analogue or derivative according to any one of the precedingclauses to the extent possible which has a potency of at least 30%,preferably at least 40%, more preferably at least 50%, even morepreferably at least 60%, or most preferably at least 70%, relative tothe potency of Met-FGF21.59. The analogue or derivative according to any one of the precedingclauses to the extent possible which has a potency of at least (i) atleast 80%, preferably at least 90%, more preferably at least 100%, evenmore preferably at least 110%, or most preferably at least 120%,relative to the potency of Met-FGF21.60. The analogue or derivative according to any one of the precedingclauses to the extent possible which has a potency of at least 100%,preferably at least 120%, more preferably at least 140%, even morepreferably at least 160%, or most preferably at least 180%, relative tothe potency of Met-FGF21.61. The analogue or derivative according to any one of the precedingclauses to the extent possible which has a potency of at least 200%,preferably at least 250%, more preferably at least 300%, even morepreferably at least 350%, or most preferably at least 400%, relative tothe potency of Met-FGF21.62. A compound according to any one of the preceding clauses, which isany one of the compounds mentioned specifically in the presentspecification such as in the specific examples, especially any one ofexamples 1 et seq.63. A compound according to any one of the preceding clauses for use asa medicament or for use in a medicament.64. A compound according to any one of the preceding product clauses fortreating or preventing diabetes, dyslipidemia, obesity, cardiovasculardiseases, metabolic syndrome, and/or Non Alcoholic Fatty Liver Disease(NAFLD).65. The use of a compound according to any one of the preceding clausesfor the preparation of a medicament for the treatment or prevention ofdiabetes, dyslipidemia, obesity, cardiovascular diseases, metabolicsyndrome, and/or Non Alcoholic Fatty Liver Disease (NAFLD).66. The use of a compound according to any one of the preceding productclauses for the preparation of a pharmaceutical composition for thetreatment of diabetes, dyslipidemia, obesity, cardiovascular diseases,metabolic syndrome, and/or Non Alcoholic Fatty Liver Disease (NAFLD).67. A method of treatment or prevention of diabetes, dyslipidemia,obesity, cardiovascular diseases, metabolic syndrome, and/or NonAlcoholic Fatty Liver Disease (NAFLD), the method comprisingadministering to a subject in need thereof a therapeutically effectiveamount of a compound according to any one of the preceding productclauses.68. Any novel feature or combination of features described herein,especially features described in a clause or in a claim.

Combining one or more of the clauses and embodiments described herein,optionally also with one or more of the claims below, results in furtherembodiments and the present invention relates to all possiblecombinations of said clauses, embodiments and claims. In some of theclauses and claims herein, it is mentioned that said claim or clause,respectively, is according to any one of the preceding clauses orclaims, respectively, to the extent possible. Any skilled art worker isable to decide to which extent this is possible. Hence, such clauses andclaims may only be according to some of the preceding clauses andclaims, respectively, even if not specifically stated so. The term “anyone of the preceding clauses or claims” covers any logical number of thepreceding clauses or claims, respectively, for example one, two, threeor four of those preceding clauses and claims, respectively.

The following examples are offered by way of illustration, not bylimitation.

ABBREVIATIONS

The following abbreviations are used in the following, in alphabeticalorder: BG is blood glucose, BW is body weight, DCM is dichloromethane,DIC is diisopropylcarbodiimide, DIPEA is diisopropylethylamine, DPBS isDulbecco's Phosphate-Buffered Saline, DVB is divinyl benzene, EDAC is(3-dimethylaminopropyl)ethyl carbodiimide hydrochloride, Fmoc is9H-fluoren-9-ylmethoxycarbonyl, HEPES is4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid, HOAt is1-hydroxy-7-azabenzotriazole, HOBt is 1-hydroxybenzotriazole, HPβCD ishydroxypropyl beta cyclodextrin, HPLC is High Performance LiquidChromatography, IBMX is 3-isobutyl-1-methylxanthine, Inp is isonipecoticacid, IPTG is isopropyl β-D-1-thiogalactopyranoside check, LCMS isLiquid Chromatography Mass Spectroscopy, MALDI-TOF MS is Matrix-AssistedLaser Desorption/Ionization Time of Flight Mass Spectroscopy, MeOH ismethanol, NanoES-MS is Nano-ElectroSpray tandem Mass Spectrometry, NMPis 1-methyl-pyrrolidin-2-one, OEG is 8-amino-3,6-dioxaoctanic acid, OtBuis tert.butyl ester, PBS is phosphate buffered saline, RT is roomtemperature, TFA is trifluoroacetic acid, TG is triglyceride, THF istetrahydrofuran, TIPS is triisopropylsilane, Tris istris(hydroxymethyl)aminomethane or2-amino-2-hydroxymethylpropane-1,3-diol, Trx is tranexamic acid, TSTU isO—(N-succimidyl)-N,N,N′,N′-tetramethyluronium tetrafluoroborate and HPLCis Ultra Performance Liquid Chromatography.

General Methods LCMS Method 1 (LCMS1)

An Agilent Technologies LC/MSD TOF (G1969A) mass spectrometer was usedto identify the mass of the sample after elution from an Agilent 1200series HPLC system. The deconvolution of the protein spectra wascalculated with Agilent's protein confirmation software.

Eluents:

A: 0.1% Trifluoroacetic acid in waterB: 0.1% Trifluoroacetic acid in acetonitrile

Column: Zorbax 5u, 300SB-C3, 4.8×50 mm

Gradient: 25%-95% acetonitrile over 15 min

LCMS Method 2 (LCMS2)

A Perkin Elmer Sciex API 3000 mass spectrometer was used to identify themass of the sample after elution from a Perkin Elmer Series 200 HPLCsystem.

Eluents:

A: 0.05% Trifluoroacetic acid in waterB: 0.05% Trifluoroacetic acid in acetonitrile

Column: Waters Xterra MS C-18×3 mm id 5 μm

Gradient: 5%-90% acetonitrile over 7.5 min at 1.5 ml/min

LCMS Method 3 (LCMS3)

A Waters Micromass ZQ mass spectrometer was used to identify the mass ofthe sample after elution from a Waters Alliance HT HPLC system.

Eluents:

A: 0.1% Trifluoroacetic acid in waterB: 0.1% Trifluoroacetic acid in acetonitrile

Column: Phenomenex, Kinetex C18 50×4.60 mm id 2.6 μm, 100AA

Gradient: 10%-90% B over 7.5 min at 1.0 ml/min

Example 1 Cloning and Expression of FGF21

The DNA and amino acid sequences for human FGF21 have been disclosed by,e.g., Nishimura et al. in Biochim. Biophys. Acta 1492(1):203-206 (2000).The sequences are also available from public databases with accessionnos. EMBL:AB021975 and UNIPROT:Q9NSA1, respectively.

The native polypeptide is synthesised with a signal peptide of 28 aminoacids for secretion:

1 MDSDETGFEH SGLWVSVLAG LLLGACQAHP IPDSSPLLQF GGQVRQRYLY 51TDDAQQTEAH LEIREDGTVG GAADQSPESL LQLKALKPGV IQILGVKTSR 101FLCQRPDGAL YGSLHFDPEA CSFRELLLED GYNVYQSEAH GLPLHLPGNK 151SPHRDPAPRG PARFLPLPGL PPALPEPPGI LAPQPPDVGS SDPLSMVGPS 201 QGRSPSYAS

The signal peptide, shown in italics above, is included in the appendedsequence listing as SEQ ID NO:2. The mature FGF21 polypeptide consistingof the remaining 181 amino acids is included in the sequence listing asSEQ ID NO:1.

The mature FGF21 polypeptide was cloned and expressed as anintracellular protein in E. coli, without the signal peptide, but withan added N-terminal methionine or an N-terminal Met-Ala which isprocessed in E. coli resulting in N-terminal Ala (−1Ala). More inparticular, a 550 by coding region including at the 3′-end the ATG codonfor Met, as well as Nde1 and BamH1 restriction sites at the 3′- and5′-ends, respectively, was inserted into the expression vector pET 11cin Nde1-BamH1 under control of the phage T7 promoter, and transformedinto E. coli B BL21(DE3). The cells were grown in LB amp 100 ug/mL toOD₄₅₀ 0.5, and expression was induced with 0.3 mM IPTG for 4 hours at37° C. Crude extracts of cells were made by sonication for analysis ofFGF21 expression.

A Coomassie stained SDS-PAGE showed successful expression of FGF21 whichwas identified mainly in the soluble supernatant fraction, with verylittle in the insoluble pellet. Although the calculated MW of the thusexpressed FGF21 (Met-FGF21) (Compound A) is 19.5 kD, it migrated on thegel as a 25 kD protein, which is likely due to the high content ofprolines, delaying the movement of the protein.

Example 2 Cloning and Expression of FGF21 Analogues

The following, specific analogues of FGF21 can be prepared as is knownin the art and expressed in E. coli as generally described in Example 1:

Analog Number Sequence modifications to human FGF21 (Seq. ID 1) 1 -1A,S71C, L166F, S167G, M168L, G174V, Y179F, A180E, des181 2 -1A, S71C,L166F, S167G, M168L, G174V, Y179F, A180E 3 -1A, S71C, L166F, S167G,M168L, P171L, S172E, Q173A, G174V, Y179F, A180E, des181 4 -1A, S71C,L166F, S167G, M168L, P171L, S172E, Q173A, G174V, Y179F, A180E 5 -1A,S71C, N121Q, L166F, S167G, M168L, G174V, Y179F, A180E, des181 6 -1A,S71C, N121Q, L166F, S167G, M168L, G174V, Y179F, A180E 7 -1A, S71C,N121Q, L166F, S167G, M168L, P171L, S172E, Q173A, G174V, Y179F, A180E,des181 8 -1A, S71C, N121Q, L166F, S167G, M168L, P171L, S172E, Q173A,G174V, Y179F, A180E 9 -1A, 121Q, 166F, 167G, 168L, 171L, 172E, 173A,174V, 179F, 180E, des181 10 -1A, 71C, 121Q, 166F, 167G, 168L, 171L,172E, 173A, 174V, des179-181 11 -1A, 71C, 121Q, 166F, 168L, 173A, 174V,179F

The same FGF21 analogues can be expressed and prepared in S. cerevisiaein ways suitable and per se known for this organism.

Example 3 Purification of FGF21 Analogues

The FGF21 analogues described in Examples 1-2 may be further purified asfollows or using similar techniques:

A slurry (20% w/v) of E. coli in 10 mM potassium phosphate buffer pH 7.5was sonicated (3 seconds on/off intervals on ice for 5 minutes). Thepolypeptide was pelleted by centrifugation (10,000×g, for 30 minutes),re-solubilised by sonication in 50 mM Tris pH 8.0, and debris removed bycentrifugation (10,000×g, for 30 minutes). The polypeptide in theresulting supernatant was purified by anion exchange chromatography (50mM Tris pH 8.0, 50-250 mM NaCl) using Q Sepharose Fast Flow resin (GEHealthcare), as generally described in Protein Purification. Principlesand Practice Series: Springer Advanced Texts in Chemistry Scopes, RobertK. 3rd ed., 1994. In some instances, further purification was done bysize exclusion chromatography using a HiLoad 26/60 Superdex pg 75 column(GE Healthcare) operated with 50 mM Tris pH 8.0 and 200 mM NaCl. Forstorage the polypeptide was transferred to DPBS, and stored frozen.

Analog number 11: [−1A, S71C, N121Q, L166F, M168L, Q173A, G174V, Y179F]FGF21 LCMS1: Theoretical mass: 19495.03. Found: 19500.40

Example 4 Preparation of Reagents which can be Used to Modify the FreeCys of FGF21 Analogues in Position 71 Preparation of17-{(S)-1-carboxy-3-[2-(2-{[2-(2-{[2-(2-iodoacetylamino)ethylcarbamoyl]methoxy}-ethoxy)ethylcarbamoyl]methoxy}ethoxy)ethylcarbamoyl]propylcarbamoyl}heptadecanoicacid

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Step 1:17-[(S)-3-(2-{2-[(2-{2-[(2-Aminoethylcarbamoyl)methoxy]ethoxy}ethylcarbamoyl)methoxy]-ethoxy}ethylcarbamoyl)-1-carboxypropylcarbamoyl]heptadecanoicacid

To a solution of ethanol (10 ml) and ethylenediamine (1 ml) was added17-((S)-1-carboxy-3-{2-[2-({2-[2-(2,5-dioxopyrrolidin-1-yloxycarbonylmethoxy)ethoxy]ethylcarbamoyl}methoxy)ethoxy]-ethylcarbamoyl}propylcarbamoyl)heptadecanoicacid (500 mg, prepared as described previously in WO2009/083549). Afterstirring over night at room temperature, the mixture was concentrated invacuo at 40° C. The residue was purified by preparative HPLC (10-65%acetonitrile, 0.1% TFA, 20 mL/min, C18, 30 mm×250 mm, 110 Å). Yield 332mg (70%).

LCMS: Theoretical mass: 776.0. Found: 776.6 (M+1).

Step 2:17-{(S)-1-Carboxy-3-[2-(2-{[2-(2-{[2-(2-iodoacetylamino)ethylcarbamoyl]methoxy}ethoxy)-ethylcarbamoyl]methoxy}ethoxy)ethylcarbamoyl]propylcarbamoyl}heptadecanoicacid

To a solution of iodoacetic acid (92 mg) in acetonitrile (1 ml) wasadded TSTU (142 mg) and DIPEA (0.085 ml). After stirring at RT for 60min a solution of17-[(S)-3-(2-{2-[(2-{2-[(2-aminoethylcarbamoyl)methoxy]ethoxy}ethylcarbamoyl)methoxy]ethoxy}ethylcarbamoyl)-1-carboxypropylcarbamoyl]heptadecanoicacid (0.320 g) in 0.1M Na2CO3 (12 ml) was added. After stirring for 120min, pH of the mixture was adjusted to 1 with 1N HCl. The precipitatewas filtered off and washed with water and dried in vacuo. Yield 350 mg(90%).

LCMS3: Theoretical mass: 943.9 Found: 944.6 (M+1).

The following reagents can be useful in the modification of FGFanalogues, and they can be prepared using similar processes:

Modifying Reagent Structure Number X = an appropriate leaving groupNon-limiting examples are I or Br. I

II

III

IV

V

VI

VII

VIII

IX

X

XI

XII

Example 5 Derivatisation of FGF21 Compounds at 71Cys with ModifyingGroup

Preparation of a 71Cys derivative of an FGF21 analogue

Derivative Number 102. Preparation of the (−1A, 71C, 121Q, 166F, 168L,173A, 174V, 179F) FGF21 derivativeS-71-({2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]-ethoxy}ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methyl)[71C, 121Q, 166F, 168L, 73A, 174V, 179F] Ala-FGF21

The Cys residue at position 71 in the (−1A, 71C, 121Q, 166F, 168L, 173A,174V, 179F) FGF21 analogue 11, prepared as generally described inExamples 2 and 3, was modified at the thiol group at position 71 withthe following reagent prepared as described above:

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To [71C, 166F, 167G, 168L, 171L, 172E, 173A, 174V, 179F] Ala-FGF21 (17mg, 0.00087 mmol), in 20 mM Tris and 0.5M NaCl pH 8.28.17-{(S)-1-Carboxy-3-[2-(2-{[2-(2-{[2-(2-iodoacetylamino)ethylcarbamoyl]methoxy}ethoxy)ethylcarbamoyl]methoxy}ethoxy)ethylcarbamoyl]propylcarbamoyl}heptadecanoicacid (4.05 mg 0.0035 mmol) in 0.1M NaHCO3 (0.081 ml) was added. After 3h MiliQ water was added to lower the conductivity to 8.0 mS/cm. Themixture was purified using anion exchange on a MonoQ 10/100 column usingA-buffer: 20 mM TRIS, pH 7.5; B-buffer: 20 mM TRIS, 500 mM NaCl, pH 7.5,flow 0.5 mL/min, gradient: 0-100% B over 60CV. The collected fractionswere buffer exchanged to a phosphate buffer using a HiPrep 26/10desalting column. The eluate was collected and filtered through a MillexGV sterile 0.22 um. Yield: 4.65 mg.

MS-TOF: Theoretical mass: 20311.03. Found: 20311.44

In the following table, some specific FGF21 derivatives according to thepresent invention are illustrated by stating the specific FGF21 analogueand stating the specific modifying agent. In this table, all thesecompounds of this invention are identified by a derivative number. Allthese compounds of this invention can be prepared in similar fashion asdescribed above. In this table, any of the specific FGF21 analogues towhich the modifying moiety is covalently attached is identified by a“analogue number” which is stated in the table in example 2 above.Furthermore, in this table, any of the reagents used to modify thespecific FGF21 analogues is identified by a “modifying reagent number”which is stated in the table in example 4 above. In all the derivativesillustrated in the table below, the modifying reagent reacts with themercapto group present in Cys in position 71 in the FGF21 analogue.

Derivative Number Analog number Modifying reagent number 1. 1 I 2. 2 I3. 3 I 4. 4 I 5. 5 I 6. 6 I 7. 7 I 8. 8 I 9. 1 II 10. 2 II 11. 3 II 12.4 II 13. 5 II 14. 6 II 15. 7 II 16. 8 II 17. 1 III 18. 2 III 19. 3 III20. 4 III 21. 5 III 22. 6 III 23. 7 III 24. 8 III 25. 1 IV 26. 2 IV 27.3 IV 28. 4 IV 29. 5 IV 30. 6 IV 31. 7 IV 32. 8 IV 33. 1 V 34. 2 V 35. 3V 36. 4 V 37. 5 V 38. 6 V 39. 7 V 40. 8 V 41. 1 VI 42. 2 VI 43. 3 VI 44.4 VI 45. 5 VI 46. 6 VI 47. 7 VI 48. 8 VI 49. 1 VII 50. 2 VII 51. 3 VII52. 4 VII 53. 5 VII 54. 6 VII 55. 7 VII 56. 8 VII 57. 1 VIII 58. 2 VIII59. 3 VIII 60. 4 VIII 61. 5 VIII 62. 6 VIII 63. 7 VIII 64. 8 VIII 65. 1IX 66. 2 IX 67. 3 IX 68. 4 IX 69. 5 IX 70. 6 IX 71. 7 IX 72. 8 IX 73. 1X 74. 2 X 75. 3 X 76. 4 X 77. 5 X 78. 6 X 79. 7 X 80. 8 X 81. 1 XI 82. 2XI 83. 3 XI 84. 4 XI 85. 5 XI 86. 6 XI 87. 7 XI 88. 8 XI 89. 1 XII 90. 2XII 91. 3 XII 92. 4 XII 93. 5 XII 94. 6 XII 95. 7 XII 96. 8 XII 97. 10 I98. 11 I 99. 10 II 100. 11 II 101. 10 III 102. 11 III 103. 10 IV 104. 11IV 105. 10 V 106. 11 V 107. 10 VI 108. 11 VI 109. 10 VII 110. 11 VII111. 10 VIII 112. 11 VIII 113. 10 IX 114. 11 IX 115. 10 X 116. 11 X 117.10 XI 118. 11 XI 119. 10 XII 120. 11 XII

For example, Derivative 102 could be prepared by reacting analogue 11which is (−1A, S71C, 121Q, L166F, M168L, Q173A, G174V, Y179F)-FGF21together with17-{(S)-1-carboxy-3-[2-(2-{[2-(2-{[4-(2-iodoacetylamino)butylcarbamoyl]methoxy}ethoxy)ethylcarbamoyl]methoxy}ethoxy)ethylcarbamoyl]-propylcarbamoyl}heptadecanoicacid, such that the free thiol of the cysteine at position 71 becomesmodified with the modifying moiety III({4-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]ethoxy}ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]butylcarbamoyl}methyl)thus formingS-71-{4-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]-ethoxy}ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]butylcarbamoyl}methyl[S71C, 121Q, L166F, M168L, G174V, Y179F] Ala-FGF21.

In the compounds of this invention with the above derivative numbers1-120, the modifying moiety covalently attached to the sulphur atom fromthe mercapto group in 71Cys is as stated in the following table usingthe same “modifying moiety numbers” as used for the correspondingmodifying reagents.

Modifying moiety Number Modifying moiety I{2-[2-(2-{2-[2-(2-{2-[(S)-4-Carboxy-4-(13-carboxytridecanoylamino)butyrylamino]ethoxy}-ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methyl II{2-[2-(2-{2-[2-(2-{2-[(S)-4-Carboxy-4-(15-carboxypentadecanoylamino)butyrylamino]-ethoxy}ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methylIII{2-[2-(2-{2-[2-(2-{2-[(S)-4-Carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]-ethoxy}ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methylIV{2-[2-(2-{2-[2-(2-{2-[(S)-4-Carboxy-4-(19-carboxynonadecanoylamino)butyrylamino]-ethoxy}ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methylV{3-[2-(2-{2-[2-(2-{2-[(S)-4-Carboxy-4-(13-carboxytridecanoylamino)butyrylamino]ethoxy}-ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]propylcarbamoyl}methyl VI{3-[2-(2-{2-[2-(2-{2-[(S)-4-Carboxy-4-(15-carboxypentadecanoylamino)butyrylamino]-ethoxy}ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]propylcarbamoyl}methylVII{3-[2-(2-{2-[2-(2-{2-[(S)-4-Carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]-ethoxy}ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]propylcarbamoyl}methylVIII{3-[2-(2-{2-[2-(2-{2-[(S)-4-Carboxy-4-(19-carboxynonadecanoylamino)butyrylamino]-ethoxy}ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]propylcarbamoyl}methylIX{4-[2-(2-{2-[2-(2-{2-[(S)-4-Carboxy-4-(13-carboxytridecanoylamino)butyrylamino]ethoxy}-ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]butylcarbamoyl}methyl X{4-[2-(2-{2-[2-(2-{2-[(S)-4-Carboxy-4-(15-carboxypentadecanoylamino)butyrylamino]-ethoxy}ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]butylcarbamoyl}methylXI{4-[2-(2-{2-[2-(2-{2-[(S)-4-Carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]-ethoxy}ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]butylcarbamoyl}methylXII{4-[2-(2-{2-[2-(2-{2-[(S)-4-Carboxy-4-(19-carboxynonadecanoylamino)butyrylamino]-ethoxy}ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]butylcarbamoyl}methyl

Example 6 Potency Assay—Glucose Uptake in 3T3-L1 Adipocytes

The following assay was used for determining the biological activity, orpotency, of FGF21 compounds of the invention.

Mouse 3T3-L1 fibroblasts (e.g. available from ATCC, catalogue no.CL-173) are maintained in basal medium (DMEM (4500 mg/l Glucose) with10% Fetal Bovine Serum (FBS) and Penicillin/Streptomycin). The cells arenot allowed to reach confluence and should be passed (transferred to newvials) before reaching approx. 60% of confluency (by visual inspection).

For the glucose uptake assay, cells are plated 80,000 cells/well in a 24well plate, or 20,000 cells/well in a 96 well plate, and when they reachconfluency (high density, with a view to have differentiated adiposecells made), the medium is changed from basal medium to basal mediumcontaining Troglitazone, IBMX, Dexamethasone (commercially availablefrom, e.g., Sigma) and human insulin (commercially available from, e.g.,Novo Nordisk A/S).

The cells are used 7-14, preferably 7-10, days after initiation ofdifferentiation. The cells are stimulated with increasing concentrations(0-300 nM) of the FGF21 polypeptides or derivatives of the invention for20 hours in basal medium. Before addition of 3H-deoxyglucose (in whatfollows: the tracer) the cells are washed in warm (approximately 37° C.)assay buffer (PBS with 1 mM MgCl₂ and 2 mM CaCl₂), HEPES and 0.1% Humanserum albumin) and the cells are incubated with the tracer for 1 hour.This incubation is terminated by washing twice in ice cold assay buffer.The cells are lysed with Triton X-100 and lysates transferred to a 96wells plate, microscint-40 (commercially available from, e.g., PerkinElmer) is added and amount of tracer counted in a TOP-counter (e.g. aPackard top-counter from Perkin Elmer). The EC₅₀ of the polypeptide inquestion is calculated. The results which are shown in Table 1 belowindicate the EC₅₀ (potency) of the FGF21 compounds of the inventionrelative to that of Met-FGF21.

TABLE 1 Potency of FGF21 compounds Glucose uptake 3T3-L1 Analog orderivative ID Potency (%) rel. to Met-FGF21 Met-FGF21 100 Analog 9 1594Analog 8 1099 Derivative 24 796 Analog 7 734 Derivative 23 445Derivative 31 995 Analog 10 121 Derivative 101 13 Analog 6 1017 Analog 5571 Derivative 21 270 Analog 11 529 Derivative 102 484 Analog 4 102Analog 3 383 Derivative 19 57 Analog 2 1325 Derivative 18 381 Analog 11190 Derivative 17 438

It appears from the results of Table 1 that, generally, the FGF21compounds of the invention have an improved potency as compared to thepotency of Met-FGF21.

Example 7 HEK293/Beta-Klotho Erk Phosphorylation Assay

Erk phosphorylation assay was performed in HEK293 cells that were stablytransfected with human beta-Klotho. The HEK293T/b-klotho stable cellswere seeded at 30000 cells/well on 96-well plates. After two days, freshmedia was added, and after 2 hours more the FGF21 proteins were added.The plates were incubated for 12 minutes. And total ERK phosphorylationwas assessed using an AlphaScreen SureFire Phospho-ERK1/2 Assay Kit(Perkin Elmer, Waltham, Mass.) according to the manufacturer'sinstructions and an EnVision Multilabel Microplate Reader Model 2103(Perkin Elmer) with the AlphaScreen HTS Turbo option was used for signaldetection. Data are represented as means+/−S.E.M. EC50 values weredetermined from a 4-parameter logistic nonlinear regression analysisusing GraphPad Prism version 5.02. References: Yie, J. et al.: FGF21 N-and C-termini play different roles in receptor interaction andactivation, FEBS Letters 583 (2009) 19-24, and Micanovic R. et al.:Different roles of N- and C-termini in the functional activity of FGF21.J. Cell. Physiol. 2009 May; 219(2):227-34.

TABLE 2 ERK pERK-HEK293-Beta-klotho without HSA [EC50 (nM)] Analog orderivative ID Median Value Met-FGF21 1.6 Analog 9 0.70 Analog 8 0.76Derivative 24 1.01 Analog 7 0.63 Derivative 23 0.64 Derivative 31 1.46Analog 10 12.51 Derivative 101 23.8 Analog 6 0.71 Analog 5 0.78Derivative 21 1.07 Analog 11 0.98 Derivative 102 1.40 Analog 4 0.47Analog 3 0.77 Derivative 19 0.48 Analog 2 0.64 Derivative 18 0.47 Analog1 0.71 Derivative 17 0.98

For [−1A, 71C, 121Q, 166F, 168L, 174V, 179F, 180E, des181] FGF21, theErk value is 0.97. This analogue can, for example, be derivatised bycovalently attaching the above modifying moiety number III being{2-[2-(2-{2-[2-(2-{2-[(S)-4-carboxy-4-(17-carboxyheptadecanoylamino)butyrylamino]ethoxy}-ethoxy)acetylamino]ethoxy}ethoxy)acetylamino]ethylcarbamoyl}methylto the sulphur atom from the mercapto group in 71Cys.

Example 8 In vivo test of FGF21 compounds—pharmacodynamics

The db/db mouse is a mouse model for Type 2 diabetes. The mice lack theleptin receptor and they are characterized by hyperglycemia, insulinresistance, hyperphagia and obesity.

Male db/db mice (9-10 weeks old) were used to measure the effect onblood glucose and body weight of the following FGF21 analogue andderivatives.

The compounds were administered s.c. 0.1 mg/kg in 50 mM phosphate, 145mM NaCl, 0.05% Tween-80, pH=7.4 (2 ml/kg) once daily for 7 days (n=7-9).The respective vehicle treated groups (control) were treated with 50 mMphosphate, 145 mM NaCl, 0.05% Tween-80, pH=7.4, (2 ml/kg) s.c. oncedaily for 7 days (n=8-9). Body weight was measured before dosing andagain after 7 days treatment. Non-fasting blood glucose was measuredbefore dosing and again 2 hours after dosing day 7. Blood glucose wasmeasured using a glucose analyzer (Biosen 5040) based on the glucoseoxidase method. The results are shown in Table 1 below.

TABLE 3 Difference from vehicle in delta blood glucose and delta bodyweight (day 1-7) Δ blood glucose Δ body weight Analogue 7 #  −9.72 ±0.66 *** −0.38 ± 0.26   Derivative 23 −11.38 ± 0.79 ***  −2.03 ± 0.19*** Derivative 101 −10.31 ± 0.60 *** −1.07 ± 0.12 ** Derivative 24−12.21 ± 0.95 ***  −1.60 ± 0.20 *** Derivative 17 −10.61 ± 0.58 *** −1.74 ± 0.35 *** Derivative 19 −12.47 ± 0.92 *** −1.90 ± 0.59 **Derivative 31 −12.80 ± 0.92 *** −1.37 ± 0.28 ** Derivative 18 −10.87 ±1.03 *** −0.63 ± 0.25   Derivative 102 −12.63 ± 0.62 *** −1.11 ± 0.23 * # dosing BID * p < 0.05, ** p < 0.01, *** p < 0.001 Student's t-testcomparing delta value of compound vs. respective vehicle, n = 7-9

The results in table 3 show that the FGF21 derivatives of the inventionare biologically active in vivo, with effective lowering of body weightand non-fasting/fasting blood glucose.

Example 9 In Vivo Test for FGF21 Compounds—Pharmacokinetics Mini Pig

The pharmacokinetic profile of Met-FGF21 can be tested in normal maleGottingen mini pigs, n=4 (12-15 months old, 25 kg). The plasmaconcentration of the compound to be tested is monitored for 14 days. TheMet-FGF21 is dosed as a single intravenous dose of 0.1 mg/kg(approximately 5 nmol/kg).

The mean half-life (T_(y)) of the comparative compound Met-FGF21 hasbeen determined to be 10.8 hours with a standard deviation of 2.7 hours.

The pharmokinetic profile of the FGF21 compound of the invention istested in normal male Gottingen mini pigs, n=4 (12-15 months old, 25kg). The plasma concentration is monitored for 19 days. The compound isdosed as a single intravenous dose of 0.05 mg/kg (approximately 2.5nmol/kg).

The mean half-life (T_(1/2)) of the compound to be tested is determined.

The plasma levels of the FGF21 compounds can be determined usingFibroblast Growth Factor-21 Human ELISA (available from BioVendor,catalogue no. RD191108200R). The PC based software, WinNonLin version5.2 from Pharsight Corportion, Cary N.C., can be used for thepharmacokinetic calculation.

This test will confirm the protracted effect of the FGF21 derivatives ofthis invention.

All references, including publications, patent applications, andpatents, cited herein are hereby incorporated by reference in theirentirety and to the same extent as if each reference were individuallyand specifically indicated to be incorporated by reference and were setforth in its entirety herein (to the maximum extent permitted by law).

The citation and incorporation of patent documents herein is done forconvenience only and does not reflect any view of the validity,patentability, and/or enforceability of such patent documents. Thementioning herein of references is no admission that they constituteprior art.

All headings and sub-headings are used herein for convenience only andshould not be construed as limiting the invention in any way.

The use of any and all examples, or exemplary language (e.g., “such as”)provided herein, is intended merely to better illuminate the inventionand does not pose a limitation on the scope of the invention unlessotherwise claimed. No language in the specification should be construedas indicating any non-claimed element as essential to the practice ofthe invention.

Herein, the word “comprise” is to be interpreted broadly meaning“include”, “contain” or “comprehend” (vide, EPO guidelines C, III,4.13).

This invention includes all modifications and equivalents of the subjectmatter recited in the claims and clauses appended hereto as permitted byapplicable law.

1. [−1A, L166F, M168L, G174V, Y179F] FGF21, analogues of [−1A, L166F,M168L, G174V, Y179F] FGF21 optionally containing one or more of thefollowing amino acid substitutions (exchanges): 71C, 121Q, 173A and/ordes181, optionally, having up to four further mutations and/or,optionally, the 179 and/or 180 amino acid is not present and derivativesof such analogues containing Cys in position 71 which derivatives have agroup of the general formula HOOC—(CH₂),—CONH—CH(COOH)—CH₂—CH₂—CONH—(CH₂CH₂O)_(m)—CH₂—CONH—(CH₂CH₂O)_(p)—CH₂—CONH—(CH₂)_(q)—NHCO—CH₂—(modifying moiety), wherein n is an integer in the range 10-20, m is aninteger in the range 1-3, p is an integer in the range 1-3, and q is aninteger in the range 2-4, covalently attached to the sulphur atom in themercapto group present in the cysteine residue in position
 71. 2. [−1A,71C, L166F, M168L, G174V, Y179F] FGF21, analogues of [−1A, 71C, L166F,M168L, G174V, Y179F] FGF21 optionally containing one or more of thefollowing amino acid substitutions (exchanges): 121Q, 173A and/ordes181, optionally, having up to four further mutations and/or,optionally, the 179 and/or 180 amino acid is not present and derivativesof such analogues which derivatives have a group of the general formulaHOOC—(CH₂)_(n)—CONH—CH(COOH)—CH₂—CH₂—CONH—(CH₂CH₂O)_(m)—CH₂—CONH—(CH₂CH₂O)_(p)—CH₂—CONH—(CH₂)_(q)—NHCO—CH₂—(modifying moiety), wherein n is an integer in the range 10-20, m is aninteger in the range 1-3, p is an integer in the range 1-3, and q is aninteger in the range 2-4, covalently attached to the sulphur atom in themercapto group present in the cysteine residue in position 71, accordingto the previous claim.
 3. The derivative according to claim 1, wherein nis
 14. 4. The derivative according to claim 1, wherein n is
 16. 5. Thederivative according to claim 1, wherein n is
 18. 6. The derivativeaccording to claim 1, wherein q is 2
 7. The derivative according toclaim 1, wherein q is
 3. 8. The derivative according to claim 1, whereinq is
 3. 9. The derivative according to claim 1, wherein q is
 4. 10. Thederivative according to claim 2, wherein n is
 14. 11. The derivativeaccording to claim 2, wherein n is
 16. 12. The derivative according toclaim 2, wherein n is
 18. 13. The derivative according to claim 2,wherein q is 2
 14. The derivative according to claim 2, wherein q is 3.15. The derivative according to claim 2, wherein q is
 3. 16. Thederivative according to claim 2, wherein q is
 4. 17. A method oftreating diabetes, dyslipidemia, obesity, cardiovascular diseases,metabolic syndrome, and/or Non Alcoholic Fatty Liver Disease (NAFLD)comprising administering an effective amount of the derivative of claim1 to a subject in need thereof.
 18. A method of treating diabetes,dyslipidemia, obesity, cardiovascular diseases, metabolic syndrome,and/or Non Alcoholic Fatty Liver Disease (NAFLD) comprisingadministering an effective amount of the derivative of claim 2 to asubject in need thereof.